Organization
SPORTS MEDICINE ASSOCIATES OF SAN ANTONIO, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JULIE BIRKELO (CREDENTIALING SPECIALIST)
(210) 756-5240
Entity
Organization
Contact information
Practice address
112 HERFF RD STE 300, BOERNE, TX 78006-2750
(210) 699-8326
Mailing address
PO BOX 268996, DEPT 1131, OKLAHOMA CITY, OK 73126
(210) 699-8326
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
—
—
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Enumeration date
02/14/2025
Last updated
02/14/2025
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